Paul
Goble
Staunton, August 11 – Faced with a
population that continues to grow at rates that challenge the ability of the
Tajik authorities to provide support for young people and jobs when they are
older, Dushanbe has made driving down the birthrate the central plank of its
new “program for reproductive health for 2019-2022.”
To achieve that goal and to improve the
health of women, the Tajik government has directed its ministries of health
care and social security to make contraceptives more readily available throughout
the country to promote their use (stanradar.com/news/full/35740-vlasti-tadzhikistana-reshili-umenshit-rozhdaemost-v-strane.html).
The program is
intended to prevent more than 450,000 pregnancies, at least some of them unwanted,
over the next three years. This action
has come in respond to a World Bank recommendation last year that Dushanbe take
such action to reduce poverty, unemployment, and the high level of outmigration
to other countries, particularly Russia.
Tajikistan’s population is currently
growing at more than two percent a year, a figure that the country is finding
it difficult to cope with. According to the UN’s World Food Program, “almost
half” of its people live on less than 1.33 US dollars a day, far below the
established poverty figure of 1.90 US dollars a day.
In fact, Tajikistan has reduced the
fertility rate since the 1990s. Then, the average Tajik woman gave birth to six
children per lifetime. Now, urban Tajiks give birth to no more than three, although
rural ones still give birth to four, figures too high to stabilize the
population anytime soon.
(Even if the new program succeeds,
the population will continue to grow for at least a generation because those already
born are sufficiently numerous that even if each has fewer children, the total
number of children will go up, something that complicates demographic
management.)
There is enormous resistance to
family planning and contraception among conservative Muslim groups for whom
each child is viewed as a gift from Allah and ending a pregnancy is considered
to be a major sin. Given the continuing
influence of these groups, the new Tajik program is unlikely to meet its target
figures.
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